SUMMER KIDS CLUB 2019
Please complete a form for each individual child.
Child's First Name
What they prefer to be called
Child's Last Name
Allergies / Medical Conditions
Please list any medical information our staff should be aware of (Bee Sting or Peanut Allergies etc...)
Best Phone Contact #
Secondary Phone Contact #
Another phone contact #
Best Email address
This is email where confirmation will be sent, and weekly updates will go to.
List those people who can pick up your child
These are the only people our staff will release your child to
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